Evidence map›Paper›PMID 21706040›Full record

ArticleAsian journal of andrology2011

Preliminary study of letrozole use for improving spermatogenesis in non-obstructive azoospermia patients with normal serum FSH.

Giorgio Cavallini, Giovanni Beretta, Giulio Biagiotti

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Asian journal of andrology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07571928 (The NOVA-NOA Trial A Novel Aromatase Inhibitor, Leflutrozole, for Treatment of Non-Obstructive Azoospermia A Prospective Interventional Study), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07571928 phase1 / phase2not yet recruitingnot on this mapstarted 2026, after this paper: background citation

The NOVA-NOA Trial A Novel Aromatase Inhibitor, Leflutrozole, for Treatment of Non-Obstructive Azoospermia A Prospective Interventional Study

TypeinterventionalSponsorMartin Blomberg JensenRan2026 to 2027Enrolled15ConditionsInfertility Due to Azoospermia, Infertility, MaleArmsLeflutrozole, Dose 2
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. GutFrontiers in cellular and infection microbiology · 2026
    Article
  6. Article
  7. Medical treatment prior to micro-TESE.Asian journal of andrology · 2025
    Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Frontiers in hormone therapy for male infertility.Translational andrology and urology · 2018
    Review
  14. Article
  15. Article
  16. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Giorgio CavalliniAndros-Italia, Outpatient Clinic of Ferrara, Ferrara 44121, Italy. giorgiocavallini@libero.it
Giovanni Beretta
Giulio Biagiotti
University of Ferrara · ITUniversity of Perugia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We investigated whether letrozole (2.5 mg day(-1)) improves sperm count in non-obstructive azoospermia (NOA) patients. Four men were included in this study, and they had folliculo-stimulating hormone and other hormone levels within the normal range and no varicoceles or chromosomal aberrations. These four patients were administered letrozole for 3 months. Sperm count, testicular volume, gonadotropin, testosterone (T) and estradiol (E2) blood levels were assessed before, during and 1 week after the suspension of treatment. All patients showed spermatozoa in their ejaculate, increased gonadotropin and T levels and lower E2 levels (P<0.05 in all cases), when letrozole was administered. This suggests that letrozole treatment might improve sperm count in an NOA sub-population; however, more studies, including the proper controls, are needed to confirm its efficacy.

Indexed as

Aromatase InhibitorsAzoospermiaEstradiolFollicle Stimulating HormoneHumansLetrozoleMaleNitrilesSpermatogenesisSperm CountTestosteroneTriazolesAromatase InhibitorsEstradiolFollicle Stimulating HormoneLetrozoleNitrilesTestosteroneTriazoles

Identifiers

PMID21706040
PMCPMC3739567
OpenAlexW1987241986

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.